NPI | 1225409923 |
---|---|
Entity Type | Organization |
Authorized Contact | LATASHA MATTHEWS Owner 678-585-1966 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc006599) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2020-06-06 |